The plant is experiencing some difficulties with a clamping device on a holding fixture that keeps a metal part in position while it is fed into an automatic stamping machine. The clamp does not always allow the metal part to be fed into the machine properly aligned. The worker who was operating the machine had 32 years experience with this type of equipment. While attempting to make the necessary adjustments for “smooth” operation without shutting off the power, he had to reach into the machine. He placed his left hand between the feed-in mechanism levers while his right hand was positioning the misaligned part between the open clamps of the fixture. Unfortunately, the one-button actuating control was located immediately to the left of the worker’s body, about hip level. The worker inadvertently depressed the button with his leg while reaching into the machine. The machine cycled – the feed mechanism slid forward while the fixture clamps closed. The worker had the portion of his left middle finger amputated. Please answer the 5 questions!!!!
Q1) Describe the events in this case.
Q2) Describe the injury and direct cause.
Q3) Determine surface causes( unsafe acts and unsafe conditions)
Q4) Identify potential root causes.
Q5) What remedial action would you put in place to prevent a situation from happening again.
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